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Pain Management Coding Alert

E/M Coding:
Remember Different Payer Rules for Consults

Medicare doesn't recognize CPT® consult codes. When the PM specialist performs a consultation service, coders must know the specifics of the encounter before coding. Why? A consult service has to meet several guidelines, or the payer could reject your claim. Further, Medicare and private payers have some pretty major differences in how to code what you might consider a consultation. [...]